| Psychotherapy 45 min add-on to E/M CPT 90836 • Mental Health | $70 | $79 | $84 |
| Psychotherapy 60 minutes CPT 90837 • Mental Health | $102 | $115 | $129 |
| Psychotherapy 60 min add-on to E/M CPT 90838 • Mental Health | $73 | $98 | $111 |
| Psychotherapy crisis first 60 minutes CPT 90839 • Mental Health | $132 | $133 | $134 |
| Psychotherapy crisis each additional 30 minutes CPT 90840 • Mental Health | $58 | $62 | $64 |
| Family psychotherapy without patient CPT 90846 • Mental Health | $88 | $93 | $104 |
| Family psychotherapy with patient CPT 90847 • Mental Health | $78 | $88 | $107 |
| Group psychotherapy CPT 90853 • Mental Health | $16 | $21 | $26 |
| Brief emotional/behavioral assessment CPT 96127 • Mental Health | $5 | $5 | $5 |
| Lumbar puncture diagnostic CPT 62270 • Neurology | $79 | $79 | $79 |
| Chemodenervation of muscle cervical dystonia CPT 64612 • Neurology | $120 | $125 | $130 |
| Chemodenervation of muscle neck CPT 64616 • Neurology | $108 | $114 | $121 |
| Electroencephalogram (EEG) awake and asleep CPT 95816 • Neurology | $350 | $351 | $352 |
| Electroencephalogram (EEG) awake and asleep with activation CPT 95819 • Neurology | $342 | $342 | $342 |
| Electromyography (EMG) 1 extremity CPT 95860 • Neurology | $100 | $110 | $119 |
| Electromyography (EMG) 2 extremities CPT 95861 • Neurology | $72 | $127 | $168 |
| EMG needle each extremity complete CPT 95886 • Neurology | $43 | $43 | $43 |
| Nerve conduction study 1-2 nerves CPT 95907 • Neurology | $16 | $50 | $80 |
| Nerve conduction study 3-4 nerves CPT 95908 • Neurology | $49 | $49 | $49 |
| Nerve conduction study 5-6 nerves CPT 95909 • Neurology | $71 | $111 | $142 |
| Nerve conduction study 7-8 nerves CPT 95910 • Neurology | $158 | $174 | $189 |
| Nerve conduction study 13 or more nerves CPT 95913 • Neurology | $190 | $225 | $259 |
| Office visit new patient straightforward CPT 99202 • Office Visits | $55 | $61 | $73 |
| Office visit new patient low complexity CPT 99203 • Office Visits | $36 | $56 | $76 |
| Office visit new patient moderate complexity CPT 99204 • Office Visits | $30 | $120 | $167 |
| Office visit new patient high complexity CPT 99205 • Office Visits | $36 | $152 | $216 |
| Office visit established patient minimal CPT 99211 • Office Visits | $1 | $19 | $36 |
| Office visit established patient straightforward CPT 99212 • Office Visits | $30 | $36 | $42 |
| Office visit established patient low complexity CPT 99213 • Office Visits | $36 | $53 | $72 |
| Office visit established patient moderate complexity CPT 99214 • Office Visits | $30 | $57 | $106 |
| Office visit established patient high complexity CPT 99215 • Office Visits | $36 | $73 | $111 |
| Initial hospital care low complexity CPT 99221 • Office Visits | $62 | $75 | $101 |
| Initial hospital care moderate complexity CPT 99222 • Office Visits | $98 | $117 | $137 |
| Initial hospital care high complexity CPT 99223 • Office Visits | $20 | $118 | $202 |
| Subsequent hospital care low complexity CPT 99231 • Office Visits | $37 | $38 | $39 |
| Subsequent hospital care moderate complexity CPT 99232 • Office Visits | $60 | $64 | $72 |
| Subsequent hospital care high complexity CPT 99233 • Office Visits | $89 | $94 | $104 |
| Hospital discharge day management 30 minutes or less CPT 99238 • Office Visits | $61 | $65 | $72 |
| Hospital discharge day management more than 30 min CPT 99239 • Office Visits | $87 | $97 | $107 |
| Consultation office low complexity CPT 99243 • Office Visits | $61 | $96 | $121 |
| Consultation office high complexity CPT 99245 • Office Visits | $194 | $208 | $222 |
| Blepharoplasty upper eyelid CPT 15823 • Ophthalmology | $539 | $539 | $539 |
| Foreign body removal external eye corneal CPT 65210 • Ophthalmology | $68 | $68 | $68 |
| Corneal transplant endothelial CPT 65756 • Ophthalmology | $1,176 | $1,176 | $1,176 |
| Trabeculoplasty laser surgery CPT 65855 • Ophthalmology | $268 | $268 | $268 |
| Trabeculectomy glaucoma filtering surgery CPT 66170 • Ophthalmology | $957 | $1,045 | $1,133 |
| Endoscopic cyclophotocoagulation CPT 66711 • Ophthalmology | $526 | $580 | $634 |
| Iridotomy laser surgery CPT 66761 • Ophthalmology | $291 | $291 | $291 |
| Cataract surgery complex with intraocular lens CPT 66982 • Ophthalmology | $788 | $788 | $788 |
| Cataract surgery with intraocular lens insertion CPT 66984 • Ophthalmology | $564 | $599 | $633 |